MEDICAL TREATMENT OF TOXIC GOITER IN AN AREA OF IODINE DEFICIENCY
نویسنده
چکیده مقاله:
The response to methimazole [1-methyl-2-mercapto-imidazole (MMI)] therapy, 10 mg twice daily in 15 patients and propylthiouracil (P TU) therapy, 100mg twice daily in 10 patients with diffuse toxic goiter was evaluated in an area of iodine deficiency (Tehran). The mean free T4 index (FT4I) decreased from 22.7± 6.8 (± SD) to 10.8± 2.8 In MMI-treated, and from 25.1± 6.8 to 13.2± 2.1 in PTU-treated patients, two weeks after treatment. The FT4I further decreased to 6.8± 4.3 and 8.5± 2.1 after four weeks of MMI and PTU administration, respectively. The mean free T3 index (FT3I) was 415± 90, 162± 44 and 117± 46 in MMI treated and 430± 80, 210± 45 and 140± 53 in PTU treated patients before and two and four weeks after treatment, respectively. The mean FT4I and FT 31 had decreased more in the MMI treated groups as compared to the PTU treated patients, two weeks after treatment. In patients treated with MMI or PTU, 11 of 25 (44 %) had subnormal FT 41 after four weeks of treatment, of whom one had increased serum TSH. These results indicate that treatment with less than the recommended doses of thionamide compounds causes a rapid decline of thyroid hormone indices in patients residing iI). Tehran. The dosage of thionamide compounds as well as the duration of therapy with the initial doses necessary to induce euthyroidism, should be evaluated in various parts of the world.
منابع مشابه
medical treatment of toxic goiter in an area of iodine deficiency
the response to methimazole [1-methyl-2-mercapto-imidazole (mmi)] therapy, 10 mg twice daily in 15 patients and propylthiouracil (p tu) therapy, 100mg twice daily in 10 patients with diffuse toxic goiter was evaluated in an area of iodine deficiency (tehran). the mean free t4 index (ft4i) decreased from 22.7± 6.8 (± sd) to 10.8± 2.8 in mmi-treated, and from 25.1± 6.8 to 13.2± 2.1 in ptu-treated...
متن کاملEFFECT OF IODINE DEFICIENCY ON I.Q.LEVELS OF APPARENTLY NORMAL INHABITANTS OF AN ENDEMIC GOITER AREA
متن کامل
Effect of Iodine Deficiency on IQ of Apparently- Normal School Children of an Area of Endemic Goiter
SUMMARY Different degrees of neurological and psychological problems are observed in endemic goiter inhabitants. To determine the effect of iodine deficiency on IQ, we checked the IQ and size of the thyroid of 194 students of an endemic goiter area and compared with that of 224 students of a non-endemic goiter area in Kohkiloyeh & Boyer Ahmad province. The average IQ of students in endemic goi...
متن کاملComparison of Two Propylthiouracil Preparations in Treatment of Toxic Goiter
In order to compare the effect of propylthiouracil (PTU) of Iran Hormone Co. and that of Dr. Herbrand KG, Germany, 28 patients with toxic goiter entered this study. Each patient received 200 mg PTU daily for the first 4 weeks and 50 mg daily thereafter. 17 patients received PTU from Iran Hormone (group 1) and 111 took PTU from Germany (group 2). T4, T3 and TSH by RIA and resine T3, uptake were ...
متن کاملeffect of iodine deficiency on i.q.levels of apparently normal inhabitants of an endemic goiter area
0
متن کاملUpToDate®: 'Treatment of toxic adenoma and toxic multinodular goiter'
There are two clinical situations in which establishing the diagnosis of a toxic adenoma or toxic multinodular goiter is more difficult. First, the autonomously functioning tissue may be sufficiently diffuse that it is difficult to differentiate a toxic multinodular goiter from Graves' disease by thyroid scintigraphy alone. When it is important to distinguish these disorders, a high serum conce...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ذخیره در منابع من قبلا به منابع من ذحیره شده{@ msg_add @}
عنوان ژورنال
دوره 2 شماره 2
صفحات 119- 122
تاریخ انتشار 1988-08
با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023